Famous Among Top Surgeons in the 90s -
Chapter 440 - Chapter 440 Operation Surgeon Must Blaze a New Trail
Chapter 440: Operation Surgeon Must Blaze a New Trail Chapter 440: Operation Surgeon Must Blaze a New Trail “`
Today, the three of them linked arms as part of their final assessment exercise. They were quite nervous, knowing Teacher Tan was strict.
Following that, Doctor Shi Xu, the First Assistant, came down first, supervising and guiding Xie Wanying through the patient’s preoperative disinfection. Having been Teacher Sun’s First Assistant several times before, she was well-acquainted with preoperative disinfection and completed the task very efficiently.
As usual, the Chief Surgeon was the last to arrive but the first to don surgical gown.
The surgical team was in position, and the operation began.
An experienced Chief Surgeon wouldn’t only consider the simple outcomes anticipated by others. For instance, everyone was worried that the large tumor might significantly increase the risk of major bleeding during the surgery. However, measures to prevent intraoperative bleeding could be taken in advance, such as clamping the major blood vessels supplying the area, hence the issue wasn’t a significant concern. Therefore, Tan Kelin had been focusing early on whether the patient’s cardiopulmonary function could withstand the duration of anesthesia. Next, it wasn’t the intraoperative bleeding that mattered but rather whether the wound would heal postoperatively.
The nonagenarian lady’s body functions had long since degenerated. After major surgery and the removal of so many body parts, the remaining task for the surgeons was to reconnect them, and whether these reconnected tissues would heal properly was a major issue. If the reconnected ends of the intestines failed to heal properly, resulting in an anastomotic leak, it would be akin to another surgical failure. Such cases were not uncommon in elderly patients clinically.
For this reason, the surgical approach had to be innovative, not following traditional methods.
The Chief Surgeon used a meticulous technique to isolate as much of the colonic artery as possible, cutting where necessary while preserving as many blood vessels as possible to maintain blood supply to the intestines. The inferior mesenteric artery, left colic artery, sigmoid arteries, and superior rectal artery, were all separated one by one.
The duration was definitely going to be extended.
The person on hook duty was the hardest-pressed. Luo Yanfen as the first to go on hook duty had pulled for roughly an hour, breaking out in a sweat. The Chief Surgeon didn’t care whether she was tired or how difficult the position was. Her gaze had long since stopped focusing on the surgical field, blurred by exhaustion, with her arms to her fingertips stiffening. If the position she pulled wasn’t just right, the Chief Surgeon would tap her.
“No good, switch.” Doctor Shi Xu spoke.
Compared to Dr. Liu Chengran, Doctor Shi Xu was evidently not easy to talk to. Teacher Tan didn’t need to say anything, as he needed to focus entirely on his surgery. Blood vessel dissection was no joke; one slip, and a vessel could rupture, leading to massive bleeding, something the elderly patient couldn’t withstand. The rest, the First Assistant had to handle by directing and arranging for him. Otherwise, he wouldn’t have chosen Doctor Shi today. He also knew Shi Xu was less considerate than Liu Chengran.
Seeing the situation, Luo Yanfen yielded, and the waiting Li Wenhao came up to replace her.
A female doctor ultimately didn’t have the same physical strength as a male doctor. Once Li Wenhao took over, he pulled the hook wider without as much effort. However, hook duty was challenging no matter how long one had been doing it. Today’s difficulty lay in the Chief Surgeon needing to peel away gradually; it was best if the hook position was minutely adjustable, requiring greater stability and strength.
The person handling the suction had to be extremely careful, assisting the Chief Surgeon by delicately suctioning the blood that seeped out. The elderly lady’s blood vessel walls were thin, and if the Chief Surgeon didn’t cut them but the suction did, the Second Assistant was probably going to get an earful from the Chief Surgeon.
Her mind was clear of anything else, filled only with the tissues and blood she could see. The overwhelming red was indeed a visual and mental stimulant, thought Xie Wanying.
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